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NPI Code Detail

MEDICARE: OLNEY HAMILTON HOSPITAL DISTRICT

MEDICARE: OLNEY HAMILTON HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1720203144
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLNEY HAMILTON HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : BOX 158
Second Line :
City : OLNEY
State : TX
Zip : 76374-0158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 W HAMILTON ST
Second Line :
City : OLNEY
State : TX
Zip : 76374-1725
Country : US
Telephone Number : 940-564-5521
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. RAY HARRIS
Credential :
Telephone Number : 940-564-8115
Provider Enumeration Date : 04/13/2007
Last Update Date : 08/22/2020

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Directions to “OLNEY HAMILTON HOSPITAL DISTRICT ” Practice Location

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